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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mild Fever, Elevated ESR In Blood And Enlarged Liver?

hi I am suffering from an unnknown disease My existing symptoms are: Mild fever (99 around), mild weight loss, fatigue I got my checkup done 2 weeks ago. at that time i was found with little elevated ESR (38mm per hour) and little swelling in my liver. I was advised to get TB check-up done but the test came negative. I am really confused and worried. which disease i m suffering from? please help
Mon, 15 Sep 2014
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General & Family Physician,  's  Response
Hi, Welcome to Health Care Magic.
Fever, weight loss, fatigue and raised ESR shows you have an infection for which your body is showing defence (inflammatory reaction). Please don't be worried as i would exclude other common things before i go for TB.
For my patient, I would like to dig out some more history as
-FEVER when it started? is it continuous or increase or decrease?
-Do you feel tired all the time?
-Have you got cough? if yes, is it associated with sputum?
-Have you got any feeling of burning while peeing (micturation)?
-Is there any abdominal pain or change in bowel habbits recently (loose motions)?

Please do the following tests as it would help to zero out on diagnosis
-Complete Blood Count (CBC
-LFT's, RFT's, Serum electrolytes
-Chest x-ray if history of cough or Shortness of breath
-Urine routine examination
-Most important is perform a "Blood and Urine Culture and Sensitivity Test"

HOPE I HAVE ANSWERED YOUR QUESTION. PLEASE FEEL FREE TO CONTACT IF YOU STILL HAVE QUERIES. PLEASE RATE THE ANSWER AS YOU LEAVE.

WISH YOU BEST OF HEALTH!
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What Causes Mild Fever, Elevated ESR In Blood And Enlarged Liver?

Hi, Welcome to Health Care Magic. Fever, weight loss, fatigue and raised ESR shows you have an infection for which your body is showing defence (inflammatory reaction). Please don t be worried as i would exclude other common things before i go for TB. For my patient, I would like to dig out some more history as -FEVER when it started? is it continuous or increase or decrease? -Do you feel tired all the time? -Have you got cough? if yes, is it associated with sputum? -Have you got any feeling of burning while peeing (micturation)? -Is there any abdominal pain or change in bowel habbits recently (loose motions)? Please do the following tests as it would help to zero out on diagnosis -Complete Blood Count (CBC -LFT s, RFT s, Serum electrolytes -Chest x-ray if history of cough or Shortness of breath -Urine routine examination -Most important is perform a Blood and Urine Culture and Sensitivity Test HOPE I HAVE ANSWERED YOUR QUESTION. PLEASE FEEL FREE TO CONTACT IF YOU STILL HAVE QUERIES. PLEASE RATE THE ANSWER AS YOU LEAVE. WISH YOU BEST OF HEALTH!